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Organization
RAYFORD B. MITCHELL M.D., P.A.
Active
Organization
RAYFORD B. MITCHELL M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYFORD BENARD MITCHELL M.D. (PRESIDENT)
(830) 583-3900
Entity
Organization
Contact information
Practice address
3349 S HIGHWAY 181, SUITE 3, KENEDY, TX 78119-5240
(830) 583-3900
(830) 583-3903
Mailing address
3349 S HIGHWAY 181, SUITE 3, KENEDY, TX 78119-5268
(830) 583-3900
(830) 583-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090PV
BC/BS TEXAS
TX
05
—
190956601
—
TX
Enumeration date
09/05/2007
Last updated
08/07/2008
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